| NPI | 1124486899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA DUGGAL Owner 973-539-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02068909) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI02068909) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI01650500) | |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02538400) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |